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Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study

INTRODUCTION: Canadian correctional institutions have been prioritized for COVID-19 vaccination given the multiple outbreaks that have occurred since the start of the pandemic. Given historically low vaccine uptake, we aimed to explore barriers and facilitators to COVID-19 vaccination acceptability...

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Autores principales: Lessard, David, Ortiz-Paredes, David, Park, Hyejin, Varsaneux, Olivia, Worthington, James, Basta, Nicole E., MacDonald, Shannon E., Lebouché, Bertrand, Cox, Joseph, Ismail, Shainoor J., Kronfli, Nadine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8883835/
https://www.ncbi.nlm.nih.gov/pubmed/35243324
http://dx.doi.org/10.1016/j.jvacx.2022.100150
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author Lessard, David
Ortiz-Paredes, David
Park, Hyejin
Varsaneux, Olivia
Worthington, James
Basta, Nicole E.
MacDonald, Shannon E.
Lebouché, Bertrand
Cox, Joseph
Ismail, Shainoor J.
Kronfli, Nadine
author_facet Lessard, David
Ortiz-Paredes, David
Park, Hyejin
Varsaneux, Olivia
Worthington, James
Basta, Nicole E.
MacDonald, Shannon E.
Lebouché, Bertrand
Cox, Joseph
Ismail, Shainoor J.
Kronfli, Nadine
author_sort Lessard, David
collection PubMed
description INTRODUCTION: Canadian correctional institutions have been prioritized for COVID-19 vaccination given the multiple outbreaks that have occurred since the start of the pandemic. Given historically low vaccine uptake, we aimed to explore barriers and facilitators to COVID-19 vaccination acceptability among people incarcerated in federal prisons. METHODS: Three federal prisons in Quebec, Ontario, and British Columbia (Canada) were chosen based on previously low influenza vaccine uptake among those incarcerated. Using a qualitative design, semi-structured interviews were conducted with a diverse sample (gender, age, and ethnicity) of incarcerated people. An inductive-deductive analysis of audio-recorded interview transcripts was conducted to identify and categorize barriers and facilitators within the Theoretical Domains Framework (TDF). RESULTS: From March 22–29, 2021, a total of 15 participants (n = 5 per site; n = 5 women; median age = 43 years) were interviewed, including five First Nations people and six people from other minority groups. Eleven (73%) expressed a desire to receive a COVID-19 vaccine, including two who previously refused influenza vaccination. We identified five thematic barriers across three TDF domains: social influences (receiving strict recommendations, believing in conspiracies to harm), beliefs about consequences (believing that infection control measures will not be fully lifted, concerns with vaccine-related side effects), and knowledge (lack of vaccine-specific information), and eight thematic facilitators across five TDF domains: environmental context and resources (perceiving correctional employees as sources of outbreaks, perceiving challenges to prevention measures), social influences (receiving recommendations from trusted individuals), beliefs about consequences (seeking individual and collective protection, believing in a collective “return to normal”, believing in individual privileges), knowledge (reassurance about vaccine outcomes), and emotions (having experienced COVID-19-related stress). CONCLUSIONS: Lack of information and misinformation were important barriers to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons. This suggests that educational interventions, delivered by trusted health care providers, may improve COVID-19 vaccine uptake going forward.
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spelling pubmed-88838352022-02-28 Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study Lessard, David Ortiz-Paredes, David Park, Hyejin Varsaneux, Olivia Worthington, James Basta, Nicole E. MacDonald, Shannon E. Lebouché, Bertrand Cox, Joseph Ismail, Shainoor J. Kronfli, Nadine Vaccine X Regular paper INTRODUCTION: Canadian correctional institutions have been prioritized for COVID-19 vaccination given the multiple outbreaks that have occurred since the start of the pandemic. Given historically low vaccine uptake, we aimed to explore barriers and facilitators to COVID-19 vaccination acceptability among people incarcerated in federal prisons. METHODS: Three federal prisons in Quebec, Ontario, and British Columbia (Canada) were chosen based on previously low influenza vaccine uptake among those incarcerated. Using a qualitative design, semi-structured interviews were conducted with a diverse sample (gender, age, and ethnicity) of incarcerated people. An inductive-deductive analysis of audio-recorded interview transcripts was conducted to identify and categorize barriers and facilitators within the Theoretical Domains Framework (TDF). RESULTS: From March 22–29, 2021, a total of 15 participants (n = 5 per site; n = 5 women; median age = 43 years) were interviewed, including five First Nations people and six people from other minority groups. Eleven (73%) expressed a desire to receive a COVID-19 vaccine, including two who previously refused influenza vaccination. We identified five thematic barriers across three TDF domains: social influences (receiving strict recommendations, believing in conspiracies to harm), beliefs about consequences (believing that infection control measures will not be fully lifted, concerns with vaccine-related side effects), and knowledge (lack of vaccine-specific information), and eight thematic facilitators across five TDF domains: environmental context and resources (perceiving correctional employees as sources of outbreaks, perceiving challenges to prevention measures), social influences (receiving recommendations from trusted individuals), beliefs about consequences (seeking individual and collective protection, believing in a collective “return to normal”, believing in individual privileges), knowledge (reassurance about vaccine outcomes), and emotions (having experienced COVID-19-related stress). CONCLUSIONS: Lack of information and misinformation were important barriers to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons. This suggests that educational interventions, delivered by trusted health care providers, may improve COVID-19 vaccine uptake going forward. Elsevier 2022-02-19 /pmc/articles/PMC8883835/ /pubmed/35243324 http://dx.doi.org/10.1016/j.jvacx.2022.100150 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular paper
Lessard, David
Ortiz-Paredes, David
Park, Hyejin
Varsaneux, Olivia
Worthington, James
Basta, Nicole E.
MacDonald, Shannon E.
Lebouché, Bertrand
Cox, Joseph
Ismail, Shainoor J.
Kronfli, Nadine
Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study
title Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study
title_full Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study
title_fullStr Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study
title_full_unstemmed Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study
title_short Barriers and facilitators to COVID-19 vaccine acceptability among people incarcerated in Canadian federal prisons: A qualitative study
title_sort barriers and facilitators to covid-19 vaccine acceptability among people incarcerated in canadian federal prisons: a qualitative study
topic Regular paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8883835/
https://www.ncbi.nlm.nih.gov/pubmed/35243324
http://dx.doi.org/10.1016/j.jvacx.2022.100150
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